August 20th 2025
In its updated guidelines, the AAP recommends that all children aged 6 to 23 months be vaccinated against COVID-19, citing the population's high risk for severe infection.
Need Help for Hyperhidrosis? No Sweat!
December 1st 2006Excessive sweating, or hyperhidrosis, can be primary or secondary. Cardiac disease can cause hyperhidrosis. If the results of his laboratory workup are normal and he does not show evidence of leukemia, lymphoma, infection, or diabetes, then I would try treating him for primary hyperhidrosis.
Painful Oral Lesions: What to Look For, How to Treat, Part 2
December 1st 2006ABSTRACT: Painful recurrent ulceration of gingival tissue suggests a secondary intraoral presentation of herpes simplex virus (HSV) infection. Unlike the lesions of HSV, lesions associated with coxsackievirus do not erupt in the anterior mouth but rather on the soft palate and pharynx. Furthermore, unlike HSV infection, coxsackie infections may recur, because there is considerable viral variation. Patients with atrophic or erythematous candidiasis report burning pain and a metallic taste. The typical patient with benign mucous membrane pemphigoid is a woman older than 50 years; the condition usually involves the attached gingiva around the teeth. The lesions of erythema multiforme may erupt on any intraoral mucosa; biopsy may be required to rule out other conditions with similar presentations.
Middle-Aged Man With Recurring Facial Pain
December 1st 2006A 49-year-old man presents with recurring facial pain of 6 months' duration. The pain initially occurred several times per week; it now occurs as often as several times per day. The paroxysmal pain is intense and incapacitating but abates within several minutes. It occurs in the right maxillary region and lower jaw and is sharp and lancinating. Hard chewing and teeth cleaning are the usual precipitating events. Between episodes, the patient is asymptomatic, without numbness or deficit in the affected region.
Shedding Light on the Controversy Over Vitamin D
December 1st 2006During a routine checkup, a middle-aged woman asks you whether she should stop wearing moisturizers and makeup that contain sunscreen. She has read that increased sunlight exposure enhances vitamin D production, which may prevent certain types of cancer. What would you tell her?
Kidney Graft Rejection Lower With Thymoglobulin
November 9th 2006ST. LOUIS -- High-risk kidney transplant recipients had a lower rate of acute rejection and severe rejection episodes when they received induction therapy with Thymoglobulin (rabbit antithymocyte globulin) compared with Simulect (basiliximab).
Two New Fatalities from Clostridium sordellii, Neither Linked to Morning-After Pill
November 7th 2006BOISE, Idaho -- Two more fatalities from the rarely encountered pathogen Clostridium sordellii have been reported, neither linked to the so-called morning-after pills, Mifeprex and Cytotec, according to investigators here.